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Ccp Primary Care Center

Nurse Practitioner in Lafayette, LA · enumerated 2006 · authorized official Grover Phipps, Managing Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336115997

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Registry record

Entity type Organization (Type 2)
Legal business name Ccp Primary Care Center
Practice address 1101 Eraste Landry Rd, Lafayette, LA, 70506
Enumeration date Feb 24, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians · License 022833 (LA) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP04512 (LA) Primary

Authorized official

Name Grover Phipps
Title Managing Partner

Other identifiers

Identifier Type State Issuer
14-47692 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Ccp Primary Care Center?
Ccp Primary Care Center is registered in NPPES as a Nurse Practitioner (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.